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DEVELOPER DEPOSIT APPLICATION <br />City of Little Canada <br />515 Little Canada Road East - Little Canada, MN 55117-1600 <br />651-766-4029 (Fax 651-766-4048) <br />www.ci.little-canada.mn.us <br />Deposit # /SC/ <br />App nt's Name Rea]fv 1 S te02 <br />, ,r M2+523 Vose <br />Owner's Name Address <br />Property Location (suoet address 8140 description f own) ,,,% /`i <br />� l) IGtC - e�'a, ! td-(,_•.fid4 c ( ,ti l/ ' <br />Description andfor Reason for Request (cite ordinance sections, if known): <br />too -a,C. se'.->�tae-t-E e tcaf--"i t'\E..0 c. L.NcU SL.N <br />Le5r1)w(tm• tom-% 'cr^Ete--''f'1ccs t�• 112 0 f- 4tf4??" rP‘fe-44.-1 <br />. b5c 1 151...1) ...al Faut . C. I`r a <br />In signing this application, I hereby acknowledge <br />that I have read and fully understand the <br />applicable provisions of the Zoning and <br />Subdivision Ordinances and current <br />administrative procedures. 1 farther acknowledge <br />the fee explanation as outlined in the application <br />procedures and hereby agree to pay all <br />statem-. received om the city pertaining to <br />7 yl't1 se. <br />Si s ure of Applicant, if not Property Owner <br />Signature of Property Owner <br />Date <br />ACTION REQUESTED (check all that apply) <br />Architectural Review <br />Sec <br />00 <br />Concept Review <br />Conditional Use Permit <br />Final Plat <br />Planned Unit Development <br />Preliminary Plat <br />Subdivision <br />Text Amendment <br />Variance <br />Zoning District Amendment <br />Other: <br />Total Deposit $ <br />00 <br />1 <br />